• 대한간호학회지
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• 제47권3호
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• pp.406-419
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• 2017

Purpose: The aims of this study were to develop a motivational interviewing program for exercise improvement in persons with physical disabilities and to examine the effect of this motivational interviewing intervention. Methods: The study employed a nonequivalent control group pretest and posttest design. A total of 62 persons with physical disabilities (30 in the experimental group, 32 in the control group) were recruited from 2 community rehabilitation centers. The experimental group received 8 sessions of a group motivational interviewing program, scheduled once a week, with each session lasting 60 minutes. Test measures were completed before the intervention, immediately after the end of the intervention, 2 weeks later, and 6 weeks after the end of the intervention. Measures included self-efficacy for exercise, decisional balance for exercise, stage of change for exercise, regularity of exercise, exercise maintenance, and independent living ability. Data were analyzed using the ${\chi}^2-test$, Fisher's exact test, Independent samples t-test, and repeated measures ANOVA, conducted using IBM SPSS Statistics version 18. Results: The experimental group showed a significant increase in self-efficacy for exercise (F=50.98, p<.001), benefit (pros) of exercise (F=24.16, p<.001), and independent living ability (F=50.94, p<.001), and a significant decrease in loss (cons) of exercise (F=26.50, p<.001). There were significant differences between the two groups in stages of change for exercise (p<.001), regularity of exercise (p<.001), and exercise maintenance (${\chi}^2=26.61$, p<.001). Conclusion: The motivational interviewing program has the potential to improve exercise levels in persons with physical disabilities.

• International Journal of Railway
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• 제1권4호
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• pp.143-148
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• 2008

This paper is the output of a collaborative European project concerning the barrier free accessibility for disabled persons to regional and long distance trains in Europe. Disabled people represent around 13% of the population in Europe. This is approximately 63 million people. The range of disabilities includes people with reduced mobility including wheel chair users, viewing and hearing impaired people and other forms of impairment. Improving accessibility aims at contributing to the provision of public transport services to all citizens in an equitable way. The purpose of the project was to analyse and to evaluate the existing solutions at selected European railways for all required modules at the entrance (doors, information and safety solutions), to derive a design concept, to develop a mock-up in meeting the needs of rail travellers with the above mentioned impairments and to test it with user groups. The project also aims at deriving components for the determination of standards. The EUPAX Design Mock-up test was performed to verify the advantages of the layout of the train segment including the different modules such as access area (including the access door, gaps between platform and train as well as boarding aid devices), entrance vestibule, information systems inside and outside the train, emergency facilities, toilet with all conveniences and the additional test arrangements regarding push buttons, steps and emergency equipment. For this purpose a questionnaire was developed for the assessment of the EUPAX segment and the additional test arrangements. With the help of this questionnaire it was possible to execute a quantitative and qualitative evaluation. During three test phases 67 experts and handicapped persons from 6 countries have evaluated the Industrial Design mock-up based on this questionnaire. The test group covered persons from North (Denmark) to the South (Italy) and from the West (Spain) to the Middle of Europe (Germany). This is especially important for the generalization (harmonisation) of the results for all European countries. According to COST 335 the information for people with reduced mobility should be clear, concise, accurate and timely. So that all information can be received from persons, they must be transferred on at least two of the three possible ways (acoustical, visual, tactile), a so called "2-sense-principle". Based on the results ergonomic specifications/ solutions for the ergonomic design of the access area, the acoustic, visual and tactile information and the emergency devices including the emergency communication system were developed, related to the benefiting passenger groups.

• 한국HCI학회:학술대회논문집
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• 한국HCI학회 2009년도 학술대회
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• pp.1172-1175
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• 2009

본 연구는 청각장애인들의 통신기기에 대한 요구를 발견하고 이를 제품 및 인터페이스 개발에 반영함으로써 청각장애인들의 의사소통에 대한 문제를 해결하고자 한 디자인 연구이다. 청각장애인들과 통역사들에 대한 3회의 FGI를 통하여 청각장애인들의 일상생활에서의 의사소통 방법, 의사소통을 위한 도구의 사용, 그리고 소통에 대한 요구 등을 이해하고, 이들의 효과적인 의사소통을 가능하게 하는 방법 및 체계를 제안하였다. 이를 바탕으로 의사소통 시스템을 제안하고, 원격 통역서비스 및 전화 중개통역 서비스를 포함한 청각장애인과 건청인간의 실시간 의사소통을 효과적으로 지원할 수 있는 의사소통 시스템의 기능적 측면, 수화영상통화와 디지털 필담 및 문자 메시지에서 청각장애인들의 의사소통의 특성을 반영하여 디자인된 인터페이스의 측면, 그리고 수화영상통화 및 청각장애인들의 일상생활에서 발생되는 문제점들을 해소하기 위한 도구의 하드웨어 디자인 측면에서 청각장애인들의 요구사항을 반영하기 위한 디자인 대안의 탐색이 이루어졌다. 제안된 디자인 안은 사용자 평가를 통하여 청각장애인들의 요구에 부합함을 검증하고 개발을 위한 디자인의 구체화 단계에 있다.

• 한국콘텐츠학회논문지
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• 제21권8호
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• pp.675-690
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• 2021

본 연구는 국내에서 수행된 '장애인 체육', '장애인 생활체육', '재활운동 및 체육' 관련 연구들을 바탕으로 재활운동 및 체육 서비스 실수요자인 장애인을 대상으로 실시한 요구도 조사 결과들을 수집하여 재활운동 및 체육 서비스에 대한 요구도를 분석하였다. 장애인의 요구 내용을 추출하고 추출된 내용을 귀납적 내용 분석으로 제시하였으며, 연구자의 선입견과 주관적인 판단을 최대한 배제하고자 하였다. 국내에서 수행된 '장애인 체육', '장애인 생활체육', '재활운동 및 체육' 관련 연구들을 바탕으로 장애인을 대상으로 실시한 요구도 조사결과가 포함된 연구가 선정되었다. 본 연구의 결과는 재활운동 및 체육 서비스 실수요자인 장애인을 대상으로 실시한 요구도 조사 결과에 대하여 8가지(체육활동에 관한 인식, 프로그램, 지도자, 시설, 접근성, 체육활동 참여에 관한 저해요소, 비용/지원/재원, 기타)로 구성하여 범주화하였다.

• 한국콘텐츠학회논문지
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• 제21권11호
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• pp.711-722
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• 2021

본 연구의 목적은 발달장애인의 취업이 사회활동에 미치는 영향을 파악하여 발달장애인의 사회통합 활동 방안을 모색하는 것이다. 연구방법으로 391명의 발달장애인을 대상으로 취업 여부와, 사회활동에 대한 설문조사 자료를 통해 교차분석과 상관분석, 그리고 로지스틱 회귀분석을 실시하였다. 분석결과 첫째, 발달장애인의 취업은 사회활동에 유의한 것으로 나타났다. 즉 취업한 발달장애인의 사회활동 참여는 79.7% 미취업 상태는 39.3%로 나타났다. 둘째, 개인적 특성을 통제변인으로 신중하게 검증한 발달장애인의 취업은 사회활동에 유의한 영향을 미치는 것으로 5.2배 증가하였다. 연구결과로 볼 때 발달장애인의 사회활동 참여를 위해서는 발달장애인의 적극적인 취업지원과 취업에 대한 정책적 노력이 요구됨을 알 수 있다. 마지막으로 지원고용과 장애인 표준사업장 확대, 직무지도원 제도 도입과 관련 기관과의 네트워크 구축을 제언하였다.

• 치위생과학회지
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• 제23권3호
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• pp.225-235
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• 2023

Background: This study aimed to analyze the effects of periodontal treatment and individual- and tooth-related factors on tooth extraction in people with disabilities. Methods: The Korea National Health Insurance claims data of individuals with disabilities aged 40~64 years with chronic periodontitis in 2008 were obtained. Of these, data on the disabled who underwent scaling/root plaining, subgingival curettage/periodontal surgery, or non-periodontal treatments, and data on their teeth were selected. The extraction of 716,688 teeth from 39,097 patients was tracked until 2018, and the patient- and tooth-level factors related to tooth loss were identified using a mixed-effect logistic regression analysis. Results: Data from approximately 17% of the teeth were extracted during a follow-up period of approximately 11 years. Among the tooth-level variables, scaling/root planing treatment at baseline and periodontal treatment during the follow-up period were associated with a lower risk of tooth loss (odds ratio=0.692 and 0.769, respectively, p<0.001). Non-vital teeth increased the risk of tooth loss by 3.159 times (p<0.001). Among the patient-level variables, females were less likely to have lost their teeth than males, and those with orthopedic impairment or brain lesions/mental disabilities, a higher age group, lower income level, or residents in medium/small cities or rural areas were more likely to have lost their teeth (p<0.001). Conclusion: Through approximately 11 years of follow-up, scaling or root planing, experience with periodontal treatment at least once, female sex, older age, lower income, smaller residential areas, type of disability, and pulp vitality were found to be associated with tooth loss in individuals with disabilities aged 40~64 years with chronic periodontitis. To prevent tooth loss in individuals with disabilities, it is necessary to establish a dental treatment plan that considers the timing of periodontal treatment and the characteristics of the patient and teeth.

• 한국병원경영학회지
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• 제27권2호
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• pp.53-66
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• 2022

목적 : 본 연구는 장애인 의무고용제도의 인지정도와 그에 따른 고용증대 도움정도가 장애인의 건강상태에 미치는 영향력을 파악하고, 이를 바탕으로 장애인 의무고용제도에 대한 인지를 높여 장애인들의 건강을 증진시킬 수 있는 방안을 제시하는 데에 목적이 있다. 방법 : 본 연구에서는 장애인의 경제활동 참여에 대해 분석하기 위하여 2016-2018년 장애인고용패널조사 2차웨이브를 활용하였다. 총 1,648명을 대상으로 카이제곱 검정과 일반화추정방정식(GEE, Generalized estimating equation)을 이용하여 분석하였다. 결과 : 장애인 의무고용제도를 알고 있는 집단에 비해 전혀 모르는 집단인 경우 인지정도가 주관적 건강상태 (Odds Ratio [OR] : 1.573, 95% Confidence Interval [CI] : 1.252-1.977)와 만성질환(OR: 1.407, 95%CI: 1.091-1.816)에 유의하게 영향을 미쳤고, 장애인 의무고용제도가 고용증대에 도움이 된다는 집단에 비해 전혀 도움이 안 된다는 집단의 경우 우울감 (OR: 2.330, 95% CI: 1.219-4.452)과 주관적 건강상태 (OR: 2.052, 95% CI: 1.232-3.416) 에 유의하게 영향을 미쳤다. 결론 : 장애인의 의무고용제도 인지정도와 도움정도가 낮을수록 건강상태에 부정적인 영향을 미치는 것으로 나타났다. 따라서 장애인에 대한 고용제도 인지정도를 높여 고용증대를 촉진해야 한다. 나아가 장애인의 건강을 증진시키기 위하여 제도에 대한 장애인의 이해도를 제고할 수 있는 홍보방안과 고용접근의 어려움으로 인해 취업의지를 상실하는 장애인들을 보호할 수 있는 정책 등이 발안되어, 장애인이 고용활동에 참여할 수 있도록 장애친화적인 노동환경으로의 변화가 활성화되어야 한다.

• Journal of Preventive Medicine and Public Health
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• 제32권3호
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• pp.276-288
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• 1999

Objectives: This study was performed to determine the relationships among health concern, health practice and health status of the disabled. Methods: A self-administered questionnaire survey was carried out for 1,662 disabled persons in Taegu city from April to July, 1997. Results: Health concern had a significant and positive relationship with health practice(p<0.05) and health practice also had a significant and positive relationship with self-rated health status(p<0.05) in men and women. To determine the structural model of the Health concern, health practice, health status and sociodemographic variables, the covariance structural analysis was used. In men, age, economic status, medical security type, educational level and type of disability had significant direct effects on Health concern(T>2.0). Educational level and type of disability had significant direct effects on health practice(T>2.0). And Economic status, medical security type and job status had significant direct effects on health status(T>2.0). In women, economic status and educational level had significant direct effects on Health concern(T>2.0). However there was no variable which had a significant direct effect on health practice. Job status had a significant direct effect or health status(T>2.0). In men and women, health practice was significantly increased with increasing health concern and the more health practice, the higher health status(T>2.0). Conclusions: It is recommended that the institutional approach which improve the economic status of the disabled with understanding their behavior and attitude should be established to increase health status, in addition, the health policy for encouraging the disabled, such as health education, consulting and health promotion program, should be done.

• International journal of advanced smart convergence
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• 제9권1호
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• pp.54-62
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• 2020

According to the Ministry of Health and Welfare, "Status of Registered Persons with Disabilities", the number of people with disabilities is 2,494,460 as of 2015. The lowest rates of children with disabilities were intellectual disabilities (23%) and mental disorders (33.3%). The highest rates of screening were blindness (97%), heart failure (94.4%), and hearing impairment (92.7%). 65.2% of visually impaired people who have already had a disability at the time of marriage, and the remaining 34.8% can be thought to be the cause of high incidence of disability after marriage. 'SID (Seed in the Dark)' project was designed to recapture the visually impaired parent's desire for attachment and the space difficulties of the blind who want to be a normal parent to their children through a visual impairment of a father with 7-year-old daughter. Using Gear VR(Virtual Reality), the general public was able to feel the surroundings as if they had no vision and focused on the hearing. Especially, We expressed the sound wave visually and added the hilarious game element which grasps the terrain of the maze by sound wave like a 'blind person who perceives the surroundings by sound' and catches up with daughter. People with disabilities who are far from mental illness often have a form of family with children. The fact that the rate of childbirth is high means that there is relatively little problem in daily life. It is wondered that the rate of blindness among the visually impaired, which accounts for 10% of the total disabled, is the highest at 97%. This is because, in the case of the visually impaired, the obstacle is often caused by aging, accidents, or diseases due to inherited causes rather than the visual disorder. In particular, However, the fact that there is an obstacle in vision that accounts for 83% of the body's sensory organs causes other difficulties in the nursing process of children who are non-disabled. Parents do not know the face of child when their visual impairment is severe. Parents are extremely anxious about worry that they will be lost or abducted if their children are not by their side. And that the child recognizes the disability of his or her parents other than the other parents easily and takes it as a deficiency. Since visually impaired parents are mentally mature parents with non-disabled people, they may want their children not to feel deprived of their disability. The number of people with visual impairments has been increasing since 2001, and people with impairments often become disabled. In addition, there is much research on the problem of nondisabled parents who have children with disabilities, while there is relatively little interest and research on the problem of nondisabled child rearing of parents with disabilities.

• 한국보육학회지
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• 제18권1호
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• pp.169-192
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• 2018

본 연구는 변화하는 장애아동의 보육환경 속에서 장애통합 어린이집의 일반 보육교사가 장애인식개선교육을 전후로 어떻게 장애인식 및 장애아 보육실천의 변화를 경험하고 있는지 알아보고자 하였다. 연구대상은 인천시의 국공립 장애통합 어린이집 일반 보육교사 9명이었고, 3인씩 3그룹의 포커스면담 및 개별 면담을 통해 경험을 듣고 분석하였다. 분석결과 일반보육교사들은 장애인식개선교육 전에 장애아동에 대한 무지함과 막막함, 두려움을 호소하였고, 오히려 비장애아동의 편견 없는 태도로부터 배우기도 하였다. 장애아동에 대한 이해의 필요와 지식에 대한 요구가 높았으며 장애인식개선교육에 자발적이고 적극적으로 참여하였다. 교육에 참여한 이후 교사들은 장애아동에 대한 인식변화 및 보육실천의 방식변화를 나타냈다. 인식과 관련해서는 교사들은 장애아동을 더 이해하고 관심을 갖게 되었으며 비장애아동과 대등하게 대하고자 노력하게 되었다. 보육실천과 관련해서는 비장애아동과 장애아동 모두와 협력적 파트너쉽을 통해서 함께 통합프로그램을 실천하였고, 비장애아동에게 장애이해 교육을 제공하기도 하였고, 상황에 따라서 부분적 통합보육을 탄력적으로 실시하는 변화를 보였다. 본 연구의 결과를 통해 보육현장에서 장애인식개선교육과 관련한 일반 보육교사의 경험에 대하여 해석하고 논의하였으며 장애인식개선교육이 나아가야 할 방향에 대해서도 논의 하였다.